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General NPI Number Information
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NPI Number | 1518171073
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Entity Type | Organization
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Legal Business Name | MAYWOOD MEDICAL AND INDUSTRIAL CLINIC, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 811 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-3078
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Country | US
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Telephone | 734-243-2300
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Fax | 734-243-2490
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Provider Business Mailing Address
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Address Line | 811 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-3078
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Country | US
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Telephone | 734-243-2300
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Fax | 734-243-2490
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HYUN A STEWARD
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Credential | M.D.
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Telephone | 734-242-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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